Active NPI
Felix F Nicolas, M.D.
- Surgery Physician
- Fairfield, NJ
National Provider Identifier
1730308099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA02399500
- Practice address
- 695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592 - Phone
- (973) 826-8080
- Fax
- (866) 309-3354
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MAO 23995 | NJ | |
| Surgery Physician | 208600000X | 25MA02399500 | NJ | Primary |
Addresses
Primary practice location
695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592
Mailing address
PO Box 4059
Wayne, NJ 07474-4059
Phone (973) 826-8080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAO 23995 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Edison, NJ
- NPI 1467670224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1730308099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4059",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074744059",
"telephone_number": "973-826-8080",
"fax_number": "866-309-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 US HIGHWAY 46",
"address_2": "SUITE 400A",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070041592",
"telephone_number": "973-826-8080",
"fax_number": "866-309-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "FELIX",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "MAO 23995",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA02399500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.